Provider Demographics
NPI:1700387784
Name:PEKAREK, ANDREA LYNN (FNP-C)
Entity Type:Individual
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First Name:ANDREA
Middle Name:LYNN
Last Name:PEKAREK
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Gender:F
Credentials:FNP-C
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Mailing Address - Street 1:29992 NORTHWESTERN HWY
Mailing Address - Street 2:STE C
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3292
Mailing Address - Country:US
Mailing Address - Phone:248-851-1430
Mailing Address - Fax:248-851-5182
Practice Address - Street 1:19727 ALLEN RD
Practice Address - Street 2:STE 12
Practice Address - City:BROWNSTOWN TWP
Practice Address - State:MI
Practice Address - Zip Code:48183-1188
Practice Address - Country:US
Practice Address - Phone:734-250-6210
Practice Address - Fax:734-318-2955
Is Sole Proprietor?:No
Enumeration Date:2018-02-23
Last Update Date:2019-06-21
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Provider Licenses
StateLicense IDTaxonomies
MI18053090237207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine